KORTE B KNOBLAUCH

PEORIA, IL
NPI1598153512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005370)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- KORTE B KNOBLAUCH PA-C
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-655-2431
Mailing Address
-- KORTE B KNOBLAUCH PA-C
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-655-2431
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